Healthe Kids Parent Survey 2018-2019
Introduction
Thank you for participating in Healthe Kids Screenings! We appreciate you taking the time to fill out htis survey, as we are always looking for ways to improve our program.
Parent/Guardian Name: (Optional)
Your answer
Child's Name (Optional)
Your answer
Phone Number (Optional)
Your answer
Email Address (Optional)
Your answer
What school does your child currently attend?
What grade is your child currently in?
Please rate Healthe Kids on the following:
Outstanding
Good
Adequate
Fair
Needs Improvement
N/A
Ease of sign-up
Usefulness of the program to you
Clarity of screening results
Usefulness of guide to screening results
If your child was identified with a referral, do you feel you have the adequate resources so that your child can receive further evaluation?
According to your child, please rate their experience with Healthe Kids:
Comments/Suggestions
Your answer
Would you participate in Healthe Kids again?
Comments/Suggestions
Your answer
Please rate your overall experience with Healthe Kids:
Comments/Suggestions
Your answer
Please share suggestions, concerns or personal experiences from your child's Healthe Kids screening.
Your answer
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